Active NPI
Amanda Kaye Bliss, PHYSICIAN ASSISTANT
- Medical Physician Assistant
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- C0007382
- Practice address
- 194 Thomas Johnson Dr
Frederick, MD 21702-4679 - Phone
- (240) 215-6310
- Fax
- (240) 566-7754
- NPI assigned
- Feb 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 006528-1 | NY | |
| Medical Physician Assistant | 363AM0700X | 014596-1 | NY | |
| Medical Physician Assistant | 363AM0700X | 01753 | WV | |
| Medical Physician Assistant | 363AM0700X | C0007382 | MD | Primary |
Addresses
Primary practice location
194 Thomas Johnson Dr
Frederick, MD 21702-4679
Mailing address
1 Frederick Health Way
Frederick, MD 21701-9435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
194 Thomas Johnson Dr
Frederick, MD 21702-4679
Phone (240) 215-6310
400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 215-6310
Hospital & facility affiliations
- Frederick Health Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1846 | WV | MD | Occupational Therapy Assistant |
| 006528-1 | NY | MD | Physician Assistant |
| C0007382 | MD | MD | Medical Physician Assistant |
| 014596-1 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Medical Group LLC | Current | Accepting new patients | |
| Frederick Health Medical Group LLC | Current | Accepting new patients | |
| Doctors First, LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Frederick Health Medical Group LLC | Past | Accepting new patients |
Locations
8600 Snowden River Pkwy
Ste 207
Columbia, MD 21045
Phone (301) 595-2901
194 Thomas Johnson Dr
Frederick, MD 21702
Phone (240) 215-6370
1 Frederick Health Way
Frederick, MD 21701
Phone (240) 439-8812
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
194 Thomas Johnson Dr
Ste A
Frederick, MD 21702
Phone (240) 215-6370
12800 Middlebrook Rd
Ste 400
Germantown, MD 20874
Phone (240) 217-7794
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Frederick, MD
- NPI 1619258225
-
- Internal Medicine Physician
- Columbia, MD
- NPI 1053077263
-
- Otolaryngology Physician
- Syracuse, NY
- NPI 1952497026
-
- Family Medicine Physician
- Mount Airy, MD
- NPI 1114771862
-
- Registered Dietitian
- Frederick, MD
- NPI 1720496573
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1972809044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FREDERICK HEALTH WAY",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217019435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 THOMAS JOHNSON DR",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024679",
"telephone_number": "240-215-6310",
"fax_number": "240-566-7754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLISS",
"first_name": "AMANDA",
"middle_name": "KAYE",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-07",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "NY",
"license": "006528-1",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "014596-1",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WV",
"license": "01753",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "C0007382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.